Ultrasound 2: Doppler sonography, considerable increase in vascularisation of the scrotal wall, vascularisation in the testicles and epididymis was inconspicuous.

Diagnosis confirmation:

Total constellation (Consens)

Which DD would be also possible with the radiological findings:

Scrotal swelling in an inflammatory disease. Fournier's gangrene.

Course / Prognosis / Frequency / Other :

After other scrotal or testicular causes and self-limiting illnesses were dismissed, immobilization and local cooling. The patient recovered quickly.In up to 90% - one-sided with obvious preference of the left side.

Comments of the author about the case:

Through shown sonographic examinations and the use of doppler sonography, one can avoid unneccessary surgical revisions.

First description / History:

vist,O. Swelling of the scrotum in infants and children, and nonspecific epididymitis. A study of 158 cases. Acta Chir Scand 110:417-421, 1956